Active NPI
Granite Mountain Charter School
- Local Education Agency (LEA)
- Lucerne Valley, CA
National Provider Identifier
1073304655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- GRANITE MOUNTAIN CHARTER SCHOOL
- Practice address
- 8560 Aliento Rd
Lucerne Valley, CA 92356-8133 - Phone
- (909) 906-3593
- NPI assigned
- May 14, 2025
- Last updated
- May 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mailelei Penn
- Title
- Chief of Specialized Pupil Services
- Phone
- (562) 413-6490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | NU | Primary |
Addresses
Primary practice location
8560 Aliento Rd
Lucerne Valley, CA 92356-8133
Mailing address
10535 Foothill Blvd Ste 120
Rancho Cucamonga, CA 91730-3823
Phone (909) 870-5275
National Provider Directory
National Provider DirectoryLocations
10535 Foothill Blvd
Ste 120
Rancho Cucamonga, CA 91730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747180800000",
"number": "1073304655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10535 FOOTHILL BLVD STE 120",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303823",
"telephone_number": "909-870-5275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8560 ALIENTO RD",
"city": "LUCERNE VALLEY",
"state": "CA",
"postal_code": "923568133",
"telephone_number": "909-906-3593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANITE MOUNTAIN CHARTER SCHOOL",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-14",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A",
"authorized_official_last_name": "PENN",
"authorized_official_first_name": "MAILELEI",
"authorized_official_title_or_position": "CHIEF OF SPECIALIZED PUPIL SERVICES",
"authorized_official_telephone_number": "562-413-6490"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lucerne Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.